NPI
Shannon Shone
NPI 1588102875
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2017-02-07
- Last updated
- 2017-02-07
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 2.5 Miles SW Blue Gap Store
- City
- Blue Gap AZ
- Postal code
- 86520
- Phone
- (505) 507-9178
- Fax
- (928) 725-3157
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
Found on the OIG exclusion list (NPI match).
Nearby
Other NPIs in Blue Gap, AZ. 5 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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